Walle Bizuayehu, Reba Kidist, Debela Yamrot, Tadele Kassahun, Biadglegne Fantahun, Gutema Hordofa
Department of Physiology, College of Medicine and Health Sciences, Bahir Dar University, Bahir-Dar, Ethiopia.
Department of Adult Health Nursing, School of Health Science, College of Medicine and Health Sciences, Bahir Dar University, Bahir-Dar, Ethiopia.
Diabetes Metab Syndr Obes. 2021 Feb 26;14:875-883. doi: 10.2147/DMSO.S295451. eCollection 2021.
Metabolic syndrome is a cluster of risk factors for cardiovascular diseases, indicating great clinical attention. However, much less attention has been given to metabolic syndrome in the study area.
The objective of this study is to determine the prevalence of metabolic syndrome and its associated factors in the adult population of West Gojjam zone, Ethiopia.
A community-based cross-sectional study was conducted in West Gojjam from September 15 to October 20, 2018. A total of 627 participants were randomly selected. The data were collected using the WHO STEP-wise approach for non-communicable diseases by contextualizing the instrument based on the study questions. The collected data were entered into and analyzed in SPSS version 20. Binary logistic regression was used to identify predictors of the dependent variable. The odds ratio was used to measure the strength of association between variables. For all statistical significance tests, the cut-off value set was < 0.05 with CI of 95%.
In the studied region, high prevalence of metabolic syndrome at 17.3% is documented. In the final model, age (adjusted odds ratio [AOR] = 1.02, CI: 1.01-1. 05), occupation (AOR = 2.97, CI: 1.25-7.04), a moderate or high level of physical activity (AOR = 0.28, CI: 0.14-0.56 and AOR = 0.42, CI: 0.18-0.97) and type of oil used for cooking (AOR = 2.62, CI: 1.87-7.86) are significantly associated with metabolic syndrome.
The prevalence of metabolic syndrome in this study is high, and it is determined by age, occupation, physical activity and type of oil used for cooking. Designing an intervention which focuses on promoting a healthy lifestyle like physical activity and using oils which are liquid at room temperature to prevent the risk of major non-communicable diseases is needed.
代谢综合征是心血管疾病的一组危险因素，备受临床关注。然而，研究区域对代谢综合征的关注较少。
本研究旨在确定埃塞俄比亚西戈贾姆地区成年人群中代谢综合征的患病率及其相关因素。
2018年9月15日至10月20日在西戈贾姆开展了一项基于社区的横断面研究。共随机选取627名参与者。通过根据研究问题对工具进行情境化处理，采用世界卫生组织非传染性疾病逐步调查方法收集数据。收集的数据录入SPSS 20版并进行分析。采用二元逻辑回归确定因变量的预测因素。比值比用于衡量变量之间关联的强度。所有统计学显著性检验的临界值设定为<0.05，置信区间为95%。
在所研究的区域，记录到代谢综合征的高患病率为17.3%。在最终模型中，年龄（调整后比值比[AOR]=1.02，置信区间：1.01 - 1.05）、职业（AOR = 2.97，置信区间：1.25 - 7.04）、中等或高水平的身体活动（AOR = 0.28，置信区间：0.14 - 0.56和AOR = 0.42，置信区间：0.18 - 0.97）以及烹饪用油类型（AOR = 2.62，置信区间：1.87 - 7.86）与代谢综合征显著相关。
本研究中代谢综合征的患病率较高，且由年龄、职业、身体活动和烹饪用油类型决定。需要设计一种干预措施，重点促进健康的生活方式，如身体活动，并使用室温下为液体的油，以预防主要非传染性疾病的风险。
